Intensive care and home-based management
Keeps your highest-risk members stable at home.
For Medicaid, D-SNP, and Medicare Advantage plans managing high-utilizing members
Care at Home reaches the multi-chronic, high-utilizing members most plans can't engage — with RN care managers, social workers, and community health workers hired from the communities they serve.
You already have care management. That's not the gap.
The programs work — for members who answer the phone, attend appointments, and respond to outreach. The members driving your spend do none of those things.
Intensive care and home-based management
Keeps your highest-risk members stable at home.
Transitions of care
Prevents the readmissions phone-based programs miss.
Quality and preventive care
HEDIS gap closure and AWVs for members who never present.
Care that travels to the member.
A phone call is an invitation. A person at the door is a relationship.
Healthy at Home fields a community-based workforce hired from the neighborhoods it serves — multilingual, in person, and trained to work with members who have stopped engaging with the health system entirely. They knock. They come back. They stay long enough to find out what's actually preventing the member from getting care.
That's the part you can't build out of a caseload reassignment.
Most plans begin with a defined population and a fixed measurement window rather than a full delegation. A pilot scoped to a single region, product line, or risk tier gives you your own numbers before a broader contracting conversation. We'll walk through what that scoping looks like on the call.
Case Study
The complete 315-member analysis — methodology, comparison group, how the team was staffed and hired locally, and what the first 90 days of enrollment actually looked like.
INSIGHTS